Techahealth's Digital Technology Based Collaborative Intranatal Care Model  for Optimizing Healthy Births in Stunting Prevention

Yuliana ‎; Idawati ‎‎; Azhar Mualim; Irnawati ‎; Meliani Sukmadewi Harahap

doi:10.37430/jen.v9i1.331

Techahealth's Digital Technology Based Collaborative Intranatal Care Model for Optimizing Healthy Births in Stunting Prevention

Yuliana ‎, Idawati ‎‎, Azhar Mualim, Irnawati ‎, Meliani Sukmadewi Harahap

Abstract

Stunting is a chronic nutritional problem that has a long-term impact on the quality of human resources and needs to be prevented from the beginning of life. The delivery process is a crucial phase in determining the baby's initial condition through the quality of intranatal care, the prevention of complications, and the success of early breastfeeding initiation (IMD). However, the practice of intranatal care in health care facilities still faces obstacles in the form of suboptimal collaboration between professions and the use of digital technology. This study aims to analyze the influence of the TECH4HEALTH Digital Technology-Based Collaborative Intranatal Care Model on the optimization of healthy births in stunting prevention. This study uses a quasi-experimental design with a pretest–posttest with control group. The sample consisted of 80 maternity mothers who were divided into an intervention group (n=40) and a control group (n=40). The intervention group received collaborative intranatal care based on digital TECH4HEALTH technology involving midwives, doctors, nurses, and nutritionists, while the control group received conventional intranatal care. The research variables included the quality of intranatal care, the success of IMD, the incidence of asphyxia, the baby's birth weight, and the level of maternal understanding of stunting prevention. The results showed a significant improvement in the quality of intranatal care in the intervention group with an average score increasing from 72.4 to 88.6 (p<0.001), while the control group only increased from 73.1 to 76.5. The success of IMD in the intervention group reached 87.5% compared to 62.5% in the control group. The incidence of asphyxia decreased to 5% in the intervention group compared to 17.5% in the control group, and the proportion of infants with normal birth weight was higher (92.5% vs. 77.5%). The level of maternal understanding of stunting prevention increased significantly (p<0.001) after the application of the TECH4HEALTH model.

Keywords

intranatal care;nterprofessional collaboration;Tech4health;stunting

Full Text:

PDF

References

World Health Organization. WHO recommendations: intrapartum care for a positive childbirth experience. Geneva: WHO;(Standar utama intranatal WHO),” 2018.

UNICEF, “World Health Organization, The World Bank. Joint child malnutrition estimates (JME) Geneva: UNICEF/WHO/World Bank,” 2025.

Karundeng, Oesman.,et al., “The Utilization of the 'KIA 2025 Book' as an Educational Media for Stunting Prevention in Pregnant Women at the Wania Health Center Utilization of The Maternal and Child Health Book ( KIA Book 2025 ) as An Educational Medium for Stunting Prevention Among Pregnant Women at Wania He,” Indones. J. Nurs. Res., vol. 8, no. 2, 2025.

Estiningtyas,Q.S. Adnani, R. Maulina, K. Ramadhan, and N. B. Argaheni, “Trends and determinants of antenatal , intranatal , and postnatal care utilization among Indonesian women ( 2012 – 2017 ): associated factors in midwifery service utilization between midwives and other health professionals,” BMC Nurs., vol. 24, p. 912, 2025.

UNICEF, “World Health Organization, The World Bank. Joint child malnutrition estimates (JME). Geneva: WHO/UNICEF/World Bank.,” 2025, [Online]. Available: https://www.who.int/data/gho/data/themes/topics/joint-child-malnutrition-estimates-unicef-WHO

Mohamed, E. Ramadan, A. M. Alshammari, and A. N. Alruwaili, “Nurse-led telemedicine versus in-person lactation support for breastfeeding initiation in mothers of low-birth-weight infants : a non- inferiority randomized controlled trial,” BMC Pregnancy Childbirth, vol. 1, no. 1066, pp. 1–19, 2025.

Hartono, Y. Putri.N, and Amir. A, “Incidence of Stunting : Early and Exclusive Breastfeeding in Two-Year-Old Children,” J. Kesehat., vol. 07, no. 03, pp. 256–263, 2024.

Syahri, A. Laksono. D, Fitria.M, Rohmah.N, and Masruroh.M, “Exclusive breastfeeding among Indonesian working mothers : does early initiation of breastfeeding matter ?,” BMC Public Health, vol. 24, no. 1225, pp. 1–10, 2024, doi: 10.1186/s12889-024-18619-2.

Mohamed.H, Ismail.A, Sutan, R. Rahman.A, and Juval.K, “A scoping review of digital technologies in antenatal care : recent progress and applications of digital technologies,” BMC Pregnancy Childbirth, vol. 25, no. 153, 2025, doi: 10.1186/s12884-025-07209-8.

Mekonnen, V, Vasilevski, A. Bali. G, and L. Sweet, “Association between pregnancy intention and completion of newborn and infant continuum of care in Sub ‑ Saharan Africa : systematic review and meta ‑ analysis,” BMC Pediatr., vol. 24, p. 567, 2024, doi: 10.1186/s12887-024-05036-y.

Notoatmodjo.S, Health Research Methodology, Cetakan Ke. Jakarta, 2012.

Schulz.A and Wirtz.M, “Interprofessional Collaboration in Obstetric and Midwifery Care — Multigroup Comparison of Midwives ’ and Physicians ’ Perspective,” Healthcare, vol. 13, no. 17, p. 98, 2025.

Reeves.S,et al., “Interprofessional collaboration to improve professional practice and healthcare outcomes (Review),” Cochrane Library., vol. 6, no. 72, 2017, doi: 10.1002/14651858.CD000072.pub3.www.cochranelibrary.com.

Moore. Er., Bergman.N, Anderson.G, Medley.N., “Early skin-to-skin contact for mothers and their healthy newborn infants (Review),” Cochrane Libr., vol. 11, no. 35, p. 19, 2016, doi: 10.1002/14651858.CD003519.pub4.www.cochranelibrary.com.

Akbar et al., “Factors in the Utilization of Mobile Health for Stunting Prevention Education," Journal. Risk. Pengembangan. and health services., vol. 4, no. 1, pp. 7–13, 2025.

Roblack Robert E Black, Z. A. B. dsay H Allen, L. E. Caulfield, and M. E. Mercedes de Onis, “Maternal and child undernutrition and overweight in low-income and middle-income countries,” Pubmed, vol. 2, no. 3, pp. 12–25, 2018.

Heryani.H, Sari.M, Yulansari.M, and Gustin.M.P, “Stunting Education for Toddler Women," Journal. Pengabdian. Masyarakat., vol. 03, no. 04, pp. 266–271, 2023.

Anstey., Noiman, Boundy, and Nelson, “Maternity care practices supportive of breastfeeding in U.S. advanced neonatal care units, United States, 2022,” Journal. Perinatol., vol. 1, no. 7, 2024.

Nurfita.D., “Maternal Factors (Early Initiation of Breastfeeding, Exclusive Breastfeeding and Mother's Childbirth Age) Related to the Incidence of Stunting in Toddlers (Systematic Review). Stunting if,” Journal. Ilmu Kesehatan. Immanuel, vol. 17, no. 2, 2023.

Pangripta.D, Falah.M, Handayani.H, Setiawan.A, and Abdurahman.I, “Optimizing Early Detection of Growth and Development Disorders and Stunting Prevention Through Examination of Toddlers and Pregnant Women at the District Posyandu Kawalu,” Journal. Kesehatan. Masyarakat., vol. 05, no. 03, pp. 434–443, 2025.

DOI: https://doi.org/10.37430/jen.v9i1.331